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Testis (view source)

Revision as of 19:59, 21 January 2014

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→‎Sertoli cell nodule: split-out
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*AKA ''testicular tubular adenoma''.
*AKA ''testicular tubular adenoma''.
*AKA ''tubular adenoma of the testis''.
*AKA ''tubular adenoma of the testis''.
===General===
{{Main|Sertoli cell nodule}}
*Benign proliferation of Sertoli cells - associated with cryptorchidism (undescended testis).
*Not composed of a clonal cell population, i.e. ''not'' neoplastic; thus, technically, should not be called an ''adenoma''.<ref name=Ref_DCHH227>{{Ref DCHH|227}}</ref>
 
===Gross===
*Usually an incidental finding, rarely presents as a testicular mass.<ref name=pmid21107095>{{Cite journal  | last1 = Vallangeon | first1 = BD. | last2 = Eble | first2 = JN. | last3 = Ulbright | first3 = TM. | title = Macroscopic sertoli cell nodule: a study of 6 cases that presented as testicular masses. | journal = Am J Surg Pathol | volume = 34 | issue = 12 | pages = 1874-80 | month = Dec | year = 2010 | doi = 10.1097/PAS.0b013e3181fcab70 | PMID = 21107095 }}</ref>
 
===Microscopic===
Features:<ref name=Ref_DCHH227>{{Ref DCHH|227}}</ref><ref>{{cite journal |author=Ricco R, Bufo P |title=[Histologic study of 3 cases of so-called tubular adenoma of the testis] |language=Italian |journal=Boll. Soc. Ital. Biol. Sper. |volume=56 |issue=20 |pages=2110–5 |year=1980 |month=October |pmid=6109541 |doi= |url=}}</ref>
*Unencapsulated nodules composed of well-formed tubules.
**May contain eosinophilic (hyaline) blob in lumen (centre).
*Cells - vaguely resemble immature Sertoli cells:
**Bland hyperchromatic oval/round nuclei that are stratified.
 
DDx:<ref name=pmid21107095/>
*[[Sertoli cell tumour]].
*[[Sex cord tumour with annular tubules]].
*[[Gonadoblastoma]].
 
====Images====
<gallery>
Image:Sertoli_cell_nodule_high_mag.jpg | Sertoli cell nodule - high mag. (WC)
Image:Sertoli_cell_nodule_low_mag.jpg | Sertoli cell nodule - low mag. (WC)
</gallery>
===IHC===
Features:<ref name=pmid21107095/>
*Alpha-inhibin +ve (5/5 cases).
*OCT3/4 -ve (5/5 cases).
 
Other:
*PLAP -ve.
 
===Sign out===
<pre>
TESTICLE, LEFT, ORCHIECTOMY:
- ATROPHIC TESTICLE.
- SERTOLI CELL NODULES.
- NEGATIVE FOR INTRATUBULAR GERM CELL NEOPLASIA.
- NEGATIVE FOR MALIGNANCY.
 
COMMENT:
The above findings are supported by immunostains. The tubules stain with alpha-inhibin and
are negative for PLAP.
</pre>


==Sertoli cell tumour==
==Sertoli cell tumour==
Michael
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